Provider Demographics
NPI:1912247537
Name:LANSDALE HOSPITAL CORPORATION
Entity Type:Organization
Organization Name:LANSDALE HOSPITAL CORPORATION
Other - Org Name:ABINGTON HEALTH ADULT DAY SERVICES - SOUDERTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MERLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-481-5837
Mailing Address - Street 1:228 RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-1442
Mailing Address - Country:US
Mailing Address - Phone:215-703-0523
Mailing Address - Fax:215-703-8931
Practice Address - Street 1:228 RIDGE AVE
Practice Address - Street 2:
Practice Address - City:SOUDERTON
Practice Address - State:PA
Practice Address - Zip Code:18964-1442
Practice Address - Country:US
Practice Address - Phone:215-703-0523
Practice Address - Fax:215-703-8931
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LANSDALE HOSPITAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care